This section highlights the surgeries outcome during a one-month visual acuity survey. During the period October 2020 to March 2021, a total of 191 patients’ visual acuity were recorded with and without a pinhole. In the without pinhole category, 52% of patients' visual acuity were found with a very good category (6/6-6/12). 29% of patients' visual acuity were identified with good category (6/12-6/18). 16% of patients' visual acuity were found with borderline (6/18-6/60). In with pinhole, we have found that 91% of patients' visual acuity were found with very good category (6/6-6/12). 5% of patients' visual acuity were identified with good category (6/12-6/18). 2% of patients' visual acuity were found with borderline ( 6/18-6/60).
Similarly, from April 2021 to September 2021, a total of 83 patients' visual acuity was recorded without a pinhole. In the without pinhole category, 78% of patients' visual acuity were found with a very good category (6/6-6/12). 11% of patients' visual acuity were identified with good category (6/12-6/18). 7% of patients' visual acuity were found with borderline (6/18-6/60). In with pinhole, we have found that 89% of patients' visual acuity were found with very good category (6/6-6/12). 8% of patients' visual acuity was identified with good category (6/12-6/18). 2% of patients' visual acuity were found with borderline (6/18-6/60).
Visual Acuity classification in the operated eye
Without Pinhole
Number
%
Very good 6/6-6/12
100
52
65
78
Good < 6/12-6/18
54
29
9
11
Borderline <6/18-6/60
31
16
6
7
Poor <6/60
3
4
Total
191
83
With Pinhole
175
91
74
89
5
8
2
0
Near Visual Acuity in the operated eye
Unaided
N6
21
N8-N12
128
67
N18-N36
30
<N36
12
With Spectacles
47
1
Not using spectacle
94
49
Month Follow Up review of visual acuity done at
Camp
Home
Vision Center
15
46
55
Hospital
146
77
37
45
Date of assessment: September 2021
Location: SSN Guwahati
• The sitting arrangement for the camp patient was good and adequate.
• The registration process is also smooth. During registration patient's ID proof was collected.
• The waiting time does not irritate the patients. In general waiting, hall TV was observed but eye care messages were not displayed on a TV. In particular camp patient waiting hall TV was not observed.
• MRD number is also maintained for the registered patients in HMS (Computerized) for a long time.
• Only one word for the camp patient was observed where Pre and Post Operative patients were kept. The ward was clean enough. The camp patient ward is in a separate place from the main hospital building.
• The beds were arranged linearly and it was covered by a clean bed cover, the cover was changed after the patient was discharged.
• During winter patients were provided with an extra blanket for protection from the cold.
• All the time during patient stay in the summer the fans are running on at camp wards.
• There were ample spaces between the two cots. Patients could walk between the coats. Having supported bar beds was not observed in the ward but such beds are available in the main hospital.
• Clean drinking water available with steel glass could easily access.
• The toilet facility of the hospital in the camp ward for the patient was clean enough but maintains chart was not observed.
• The Doormat was observed during assessment in front of the toilet. Liquid soap and toilet soap are also found in the toilet. Separate toilet found for male and female, mug and bucket were also found in the toilet.
• The preoperative works up done by both optometrists and ophthalmologists.
• Ophthalmologists are always available in the camp wards both day and night time.
• The Camp ward is not attached to the main hospital. So nurses come to the ward when an emergency arises but caring staff are always available in the camp ward and their behaviour was observed as polite and caring.
• During the night time when an emergency occurred then ophthalmologists attend immediately in the camp wards.
• Hospital has tied up with some general hospitals nearby area to assist during the case an emergency arises. The hospital tied up with Guwahati Medical College & Hospital also.
• The post-operative before the patient is discharged the ophthalmologist checkup the patient and discharge is advised.
• Preoperative counselling is done in the campsite and by CHW at VC regarding how to patients picked up into the hospital and how many days take time for surgery etc.
• The kitchen was observed clean and the vegetables were also kept covered before cooking. The cooks' staff and suppliers use hair caps, masks and gloves during the assessment. All the food is safely covered before serving.
• In the dining area including the table, chairs were observed clean enough.
• Safe and clean drinking water and sufficient numbers of glass observed.
• The manager of the kitchen staff looks into the quality of food.
• In the recovery room after surgery nurses counsel the Post Operative patients such as usages of drops, cleaning of eyes, when to stop the usage drops, in the local language. But audio-visual aids were not observed for counselling. Again before the discharged time the ICO building manager also counselled the patient.
• When patients were discharged from the hospital, they were provided with a discharge summary (type of surgery, the doctor operated on) with the date of review, a white tape, one eye shield and dark glass in the discharged kit. One eye drop was provided to patients.
• The hospital picks up the patient from the campsite/ VC and dropped back to the same place after surgery. The hospital staff ensured everybody got a seat for seating and mind the distance.
• Patients were discharged after having breakfast (one bread & tea).
• The patient returned to their villages by the hospital free vehicle.
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